| Name: | MDRI LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jun 2023 (2 years ago) |
| Identification Number: | 001758635 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 1407 SOUTH COUNTY TRAIL #431, EAST GREENWICH, RI, 02818, USA |
| Purpose: | MEDICAL PRACTICE |
| Fictitious names: |
Blackstone Valley Medicine (trading name, 2024-03-04 - ) Greenwich Bay Medicine (trading name, 2024-03-04 - ) |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922887157 | 2023-09-26 | 2024-03-18 | 1407 S COUNTY TRL STE 431, EAST GREENWICH, RI, 028181679, US | 1407 S COUNTY TRL STE 432, EAST GREENWICH, RI, 028181679, US | |||||||||||||||
|
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| Phone | +1 401-398-0288 |
| Fax | 4014717365 |
Authorized person
| Name | DESIREE COFFEY |
| Role | PRACTICE MANAGER |
| Phone | 4013980288 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH RAHEB, ESQ. | Agent | 650 GEORGE WASHINGTON HWY SUITE 200, LINCOLN, RI, 02865, USA |
| Number | Name | File Date |
|---|---|---|
| 202455351610 | Statement of Change of Registered/Resident Agent | 2024-06-06 |
| 202455351520 | Annual Report | 2024-06-06 |
| 202447745410 | Fictitious Business Name Statement | 2024-03-04 |
| 202447741980 | Fictitious Business Name Statement | 2024-03-04 |
| 202336671750 | Articles of Organization | 2023-06-08 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
